PERINATAL MENTAL HEALTH CERTIFICATION (PMH-C)
EXAM ACTUAL 2026/2027 | 100% CORRECT MOST
TESTED QUESTIONS & ANSWERS IN REAL EXAM |
BRAND NEW PDF
Risk Factors for Perinatal Psychosis
1st baby; stopping mood stabilizer; obstetric complications; perinatal/neonatal
loss; previous bipolar/psychosis; family history; sleep deprivation
3 Biggest fears of panic disorder
dying; losing control; going crazy
Maternal Mortality Rate (all women)
1,200/year or 14.4/1,000
Maternal Mortality Rate (black women)
43.5/1,000
Prevalence of PP PTSD
9%
% of bipolar symptoms that relapse without medications
70%
Prevalence of PP Psychosis
1-2/1,000
Prevalence of PPD in Fathers
10%
Prevalence of PP Anxiety
8-20%
,Prevalence of prenatal anxiety
15%
Prevalence of PP depression
21%
Prevalence of PP panic disorder
11%
Prevalence of PP OCD
11%
PP PTSD Themes
1) lack of caring 2) poor communication 3) feeling powerless 4) do ends justify
means
Maternal Mortality
1,200 with complications that are fatal; 60,000 complications that are near fatal
PP Psychosis Clinical Features (onset)
<2 weeks PP
PP Psychosis Clinical Features (cognition)
decreased concentration, decreased sensations, disorientation
PP Psychosis Clinical Features (behavioral)
agitated, hyperactive, distant, aloof, decreased self care
PP Psychosis Clinical Features (Mood)
labile, elated, and dysphoric
PP Psychosis Clinical Features (Speech)
Rambling
Psychotic Thoughts
delusions, ego-syntonic thoughts
, OCD Thoughts
Parents don't want to harm baby, no delusions/hallucinations, parents have taken
steps to protect baby
DSM-5 Criteria for PTSD
qualify for four categories
1) stressor
2)Intrusions
3)Avoidance
4)Negativity in cognition/mood
5)arousal
Causes of Birth Trauma
Emergency C-section, pre-eclampsia, PP hemorrhage, NICU stay, prematurity, still
birth, 3rd/4th degree tears, hyperemesis, fetal anomaly, shoulder dystocia
DSM-5 Criteria for OCD (obsessions)
Recurrent and persistent thoughts/urges/impulses that are intrusive/unwanted;
individual attempts to ignore or suppress thoughts/urges/impulses
DSM-5 Criteria for OCD (compulsions)
repetitive behaviors that individuals feel driven to do; aimed at preventing or
reducing anxiety
Common perinatal OCD Presentations
41% deliberate harm
29% contamination
18% accidental harm
6% ordering/arranging
3% religious
3% checking
DSM-5 Criteria for Major Depression
5+ symptoms present during 2 week period
depressed mood; loss of interest/joy/pleasure; significant weight change/appetite
EXAM ACTUAL 2026/2027 | 100% CORRECT MOST
TESTED QUESTIONS & ANSWERS IN REAL EXAM |
BRAND NEW PDF
Risk Factors for Perinatal Psychosis
1st baby; stopping mood stabilizer; obstetric complications; perinatal/neonatal
loss; previous bipolar/psychosis; family history; sleep deprivation
3 Biggest fears of panic disorder
dying; losing control; going crazy
Maternal Mortality Rate (all women)
1,200/year or 14.4/1,000
Maternal Mortality Rate (black women)
43.5/1,000
Prevalence of PP PTSD
9%
% of bipolar symptoms that relapse without medications
70%
Prevalence of PP Psychosis
1-2/1,000
Prevalence of PPD in Fathers
10%
Prevalence of PP Anxiety
8-20%
,Prevalence of prenatal anxiety
15%
Prevalence of PP depression
21%
Prevalence of PP panic disorder
11%
Prevalence of PP OCD
11%
PP PTSD Themes
1) lack of caring 2) poor communication 3) feeling powerless 4) do ends justify
means
Maternal Mortality
1,200 with complications that are fatal; 60,000 complications that are near fatal
PP Psychosis Clinical Features (onset)
<2 weeks PP
PP Psychosis Clinical Features (cognition)
decreased concentration, decreased sensations, disorientation
PP Psychosis Clinical Features (behavioral)
agitated, hyperactive, distant, aloof, decreased self care
PP Psychosis Clinical Features (Mood)
labile, elated, and dysphoric
PP Psychosis Clinical Features (Speech)
Rambling
Psychotic Thoughts
delusions, ego-syntonic thoughts
, OCD Thoughts
Parents don't want to harm baby, no delusions/hallucinations, parents have taken
steps to protect baby
DSM-5 Criteria for PTSD
qualify for four categories
1) stressor
2)Intrusions
3)Avoidance
4)Negativity in cognition/mood
5)arousal
Causes of Birth Trauma
Emergency C-section, pre-eclampsia, PP hemorrhage, NICU stay, prematurity, still
birth, 3rd/4th degree tears, hyperemesis, fetal anomaly, shoulder dystocia
DSM-5 Criteria for OCD (obsessions)
Recurrent and persistent thoughts/urges/impulses that are intrusive/unwanted;
individual attempts to ignore or suppress thoughts/urges/impulses
DSM-5 Criteria for OCD (compulsions)
repetitive behaviors that individuals feel driven to do; aimed at preventing or
reducing anxiety
Common perinatal OCD Presentations
41% deliberate harm
29% contamination
18% accidental harm
6% ordering/arranging
3% religious
3% checking
DSM-5 Criteria for Major Depression
5+ symptoms present during 2 week period
depressed mood; loss of interest/joy/pleasure; significant weight change/appetite
